Neurepair Brain and Spine Wellness Centers PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEUREPAIR BRAIN AND SPINE WELLNESS CENTERS PA

Practice address

5083 Little Road
New Port Richey, FL 34653

Phone

(727) 494-7573

Fax

(727) 232-2820

NPI assigned

Aug 18, 2020

Last updated

Nov 24, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Derrick Andrew DupreNPI 1528497948

Title

Practice Owner

Phone

(727) 494-7573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derrick Andrew Dupre, M.D.

  • Neurological Surgery Physician
  • Pensacola, FL
  • NPI 1528497948
  Medicare reassignment Care Compare group NPD Authorized official
• Tracy L Czop, APRN

  • Nurse Practitioner
  • Temple Terrace, FL
  • NPI 1023428182
  Medicare reassignment Care Compare group NPD
• John Thomas Glenny III, MSN, APRN, AGNP-C

  • Nurse Practitioner
  • New Port Richey, FL
  • NPI 1265233985
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1679185003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5083 LITTLE ROAD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-494-7573",
            "fax_number": "727-232-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5083 LITTLE ROAD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "727-494-7573",
            "fax_number": "727-232-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUREPAIR BRAIN AND SPINE WELLNESS CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "DUPRE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "727-494-7573"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nalleliz Negron
• Alexandra A Nelson
• Justin Wayne Nelson
• Muriah Aleecia Nelson, BEHAVIOR TECHNICIAN
• Steven Nelson
• Neuropsychological Evaluation and Treatment Services
• Sara Emily Neville, M.S./CCC-SLP
• John Nevsky, LMT
• New Direction Healing Arts Inc
• New Port Richey Anesthesia Services LLC

• Neurological Surgery Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.